• 제목/요약/키워드: screening programs

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아동의 정서.행동발달에 관한 연구 (Study of Emotional Behavior Development of Children)

  • 박경민;양윤경;장순양
    • 한국학교보건학회지
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    • 제23권2호
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    • pp.256-265
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    • 2010
  • Purpose: The purpose of this study was to identify the psychological problems of the children in early stage and provide basic data for develop the children's mental health promotion programs. Methods: There were 270 subjects who were fist and forth grade of elementary school and the data was collected through their parents. This study use Child Problem-Behavior Screening Questionnaire that was divided into five sub-scales, including internal problems, external problems, cognitive problems, abuse problems and psychosomatic problems. Each sub-scales have one cutting points, children whose scores above the cutting points means abnormal in correspond subscale. Results: 1) The most appearing problems was psychosomatic problems with 10.8% of subjects and next internal problems with 8.6% of subjects in elementary school student. 2) For distribution of mental behavior development according to gender, there was significant difference in psychosomatic problems between male and female (p =.009). 3) For distribution of mental behavior development according to grade, the results showed that significant difference in internal problems (p =.000) and total scores of CPSQ (p =.012) between first grade and forth grade. Conclusion: When we develop children's mental health promotion program, it is necessary to considerate the gender and grade characteristics.

비행경험 초기 청소년의 자아존중감과 사회적 위축이 공격성에 미치는 영향 (The Effect of Self-esteem and Social Withdrawal on Aggression in Early Adolescents with Delinquent Behavior)

  • 김민서;전수영;조연수;전훈정
    • 한국학교보건학회지
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    • 제31권1호
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    • pp.1-9
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    • 2018
  • Purpose: This study was conducted to explore the relationship between aggression, self-esteem, and social withdrawal. Methods: This research is a cross-sectional survey. This study used the 5th-year data of the Korean Children & Youth Panel Survey (KCYPS) including 218 middle school students having delinquent behavior. The collected data was analyzed through $x^2$ test, t-test, ANOVA, Pearson's correlation, and hierarchical multiple regression, using SPSS/Win (ver. 23.0). Results: Significant positive correlations were found between aggression and social withdrawal and between aggression and self-esteem. Higher aggression was associated with higher social withdrawal and lower self-esteem. The results of the 2-step regression are as follows. Aggression was negatively correlated with self-esteem, whereas self-esteem was positively correlated with social withdrawals. The hierarchical multiple regression showed that 21% of the variance of aggression was significantly accounted for by self-esteem and social withdrawal. The most significant factor influencing aggression was social withdrawal. Conclusion: These results suggest that earlier screening and intervention programs to increase self-esteem and decrease social withdrawal for early adolescents should be developed to prevent aggression.

남성독거노인과 여성독거노인의 행복감 영향요인: 2015 지역사회 건강조사 자료 활용 (Factors Influencing the Happiness according to the Gender of the Elderly Living Alone: Using Data from 2015 Community Health Survey)

  • 김경숙
    • 동서간호학연구지
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    • 제23권2호
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    • pp.97-106
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    • 2017
  • Purpose: The purpose of this study is to identify the factors influencing the happiness according to gender of the elderly living alone. Methods: This cross-sectional study used the raw data from the 2015 Community Health Survey. The subjects of this study were 14,705 elderly people aged 65 years or older, of which 2,198 were male elderly and 12,507 were female elderly. Results: The factors influencing the happiness of both male and female elderly were household income, depression, subjective stress level, subjective health level, quality of life, and lack of required medical service experience (p<.05). In addition, the male elderly were affected by the age, and the female elderly were affected by education, sleep time, walking and breakfast practice, and health screening (p<.05). Conclusions: It is necessary to develop and apply programs that can reduce the stress to increase the happiness of the elderly living alone, and efforts should be made not to cause a blind spot in terms of the health and welfare of the elderly living alone.

Breast Cancer Risk Based on the Gail Model and its Predictors in Iranian Women

  • Mirghafourvand, Mojgan;Mohammad-Alizadeh-Charandabi, Sakineh;Ahmadpour, Parivash;Rahi, Pari
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.3741-3745
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    • 2016
  • Background: This study was carried out to examine breast cancer risk and its fertility predictors in women aged ${\geq}35$. Materials and Methods: This cross-sectional study was conducted on 560 healthy women referred to health centers of Tabriz-Iran, 2013-2014. Five-year and lifetime risk of developing breast cancer were determined using the Gail model. General linear modeling was applied to determine breast cancer predictors. Results: The mean age of the subjects was 42.7 (SD: 7.7) years. Mean 5-year and lifetime risks of developing breast cancer were determined to be 0.6% (SD: 0.2%) and 8.9% (SD: 2.5%), respectively. Variables of family history of breast cancer, age, age at menarche, parity, age at first childbirth, breastfeeding history, frequency of breastfeeding, method of contraception, marital status and education were all found to be predictors of breast cancer risk. Conclusions: According to the results of this study, screening programs based on the Gail model should be implemented for Iranian people who have a high risk for breast cancer in order to facilitate early detection and better plan for possible malignancies.

지역사회노인의 우울과 인지기능 (Depression and Cognitive Function of the Community-dwelling Elderly)

  • 서성옥;소애영
    • 지역사회간호학회지
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    • 제27권1호
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    • pp.1-8
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    • 2016
  • Purpose: The purpose of this study was to examine the depression and cognitive function of community-dwelling older adults. Methods: 243 aged over 65 in Won-Ju in South Korea participated in this study. Data were collected from April to June 2013 through interviews. This study utilized the Geriatric Depression Scale Short Form, the Korean version of MMSE-DS (MMSE for Dementia Screening), and infirmity testing for basic health status. Descriptive statistics, ${\chi}^2$, t-test, ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, and Pearson's correlation coefficient were used. Results: 75.3% of the participants belonged to the depression group, and the prevalence of cognitive impairment was 17.3%. There were significant differences in depression and cognitive function according to gender, educational level, type of insurance, subjective health, frailty, and whether to be a client of home care service. The level of depression was significantly higher and the level of cognitive functions was significantly lower in older adults in home care services than in community-dwelling older adults. Conclusion: This study is meaningful in that it included older adults in home care services to provide information to develop effective prevention programs for improving cognitive functions. The results of this study can be used to develop future community prevention and intervention.

중소기업 수출역량강화사업의 성과지표에 관한 연구 (A Study on the Performance Indicators of SME's International Marketing Program)

  • 한민정;안병수
    • 통상정보연구
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    • 제16권3호
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    • pp.141-158
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    • 2014
  • 본 연구는 중소기업의 해외시장 개척을 돕기 위한 "중소기업 수출역량강화사업"의 성과관리가 적정하게 이루어지고 있는지를 살펴보고 개선방안을 모색함에 연구 목적을 두고 있다. 동 사업은 중소기업이 해당 사업을 통해 해외 진출의 기반을 갖추고 궁극적으로 홀로 설 수 있도록 하는 것을 정책목표로 하고 있다. 이에 논리모델을 기반으로 현행 수출역량강화사업에 대한 성과관리 평가 지표들을 분석한 결과 정량지표중심으로 구성되어 정성지표가 부족하며, 과정에 대한 평가가 부족하고 단기적 결과에만 중점을 두고 있는 것으로 나타났다. 따라서 향후 성과측정을 위한 지표는 결과와 과정에 대한 평가가 균형을 맞추고 중장기적 결과도 함께 포함하는 방향으로 개선해야 할 것이다.

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임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계 (Relationship of Prenatal Stress and Depression to Maternal-Fetal Attachment and Fetal Growth)

  • 권미경;방경숙
    • 대한간호학회지
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    • 제41권2호
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    • pp.276-283
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    • 2011
  • Purpose: Prenatal depression is associated with potential negative consequences for the mother and infant. The purpose of this study was to examine pregnant women's stress, and depression and their impact on maternal-fetal attachment and fetal growth. Methods: Data were collected by means of a questionnaire and fetal sonogram from a convenience sample of 166 pregnant women. Results: Women who have a low educational level, poor health and are dissatisfied with their marriage showed low maternal-fetal attachment. Prenatal depression had significant correlations with length of pregnancy and level of stress. Even though correlation between maternal stress and fetal weight (r=-.15, p=.099) and correlation between maternal depression and maternal-fetal attachment (r=-.13, p=.095) were not statistically significant, the impact of the prenatal psychological state of mothers can not be ignored as it relates to fetal health. Conclusion: Maternal-fetal attachment and fetal growth can be affected by maternal emotional state, including stress or depression. These findings suggest that primary care nurses in hospitals and public health centers should provide prenatal depression screening and nursing intervention programs for management and prevention of prenatal stress and depression.

보건의료서비스 방향 재정립: 일차의료에서 건강증진 서비스 (Reorienting health services: Health promotion services in primary care)

  • 김영식
    • 보건교육건강증진학회지
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    • 제32권4호
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    • pp.59-65
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    • 2015
  • Objectives: Health screening in Korea is very active in both the public and private sector. However, primary prevention for health promotion has not been activated yet. Quaternary prevention is the prevention of unnecessary medical interventions or the prevention of overmedicalization. Methods: Data was collected after a search of the literature focusing on keyword. The curriculum guidelines for family medicine residents were collected from the homepage of the American Academy of Family Physicians. Results: This quaternary prevention is just beginning. The first step to enhance the health promotion services in the community is to identify the barriers pertaining to the delivering of health promotion activities. These barriers are related to the patient, the physician, attitudes, health promotion programs and the healthcare system. The second step is to establish new changes, such as expansion of insurance coverage, improvement of medical payment system, provision of consumer-oriented services, connection and integration of providers, and the service provider education and training. Conclusions: In order to enhance the health promotion services in the community we need to identify the barriers and to establish several changes to overcome them.

당뇨병 환자와 비당뇨병 환자의 연령별 건강행태 (Health Behaviors of Diabetic and Non-Diabetic Subjects across Age Groups)

  • 김진희;추수경;문주령;송민선;김성은
    • 보건교육건강증진학회지
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    • 제27권3호
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    • pp.13-22
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    • 2010
  • Objectives: The aims of this study were to provide basic information on health behaviors of diabetics by age groups, compared to non-diabetics group. Methods: 2007 National Health Nutrition and Examination Survey Data were used to compare health behaviors between the diabetics group (191 diabetics who had been diagnosed by a doctor) and the non-diabetics group (382 general population) according to age groups. For the purpose of analysis, $x^2$-test (Fischer's exact test) and conditional logistic regression were used. Results: There were significant differences in health behaviors between the diabetics group and the non-diabetics group according to the history of health screening, BMI and alcohol consumption, and there were different pattern of health behaviors by age group. Conclusion: When developing and implementing health education and specific intervention programs for the correction of health behaviors among diabetics, one should consider age, age-adjusted health behavior patterns and priority.

Type 1 diabetes genetic susceptibility markers and their functional implications

  • Park, Yongsoo
    • Journal of Genetic Medicine
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    • 제11권1호
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    • pp.1-10
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    • 2014
  • Type 1 diabetes (T1D) is a chronic autoimmune disease characterized by selective destruction of pancreatic ${\beta}$-cells resulting in insulin deficiency. The genetic determinants of T1D susceptibility have been linked to several loci, in particular to the human leukocyte antigen (HLA) region, which accounts for 50% of the genetic risk of developing T1D. Multiple genes in the HLA region, which are in strong linkage disequilibrium, are thought to be involved. Another important locus, with a smaller effect on genetic predisposition to T1D, is the insulin gene. The advent of numerous single nucleotide polymorphism markers and genome screening has enabled the identification of dozens of new T1D susceptibility loci. Some of them appear to predispose to T1D independently of the HLA and may be important in families with T1D who lack strong HLA susceptibility. Other loci may interact with each other to cause susceptibility. The autoimmune response against ${\beta}$-cells can also be triggered by environmental factors in the presence of a predisposing genetic background. Deciphering the environmental and genetic factors involved should help to understand the origin of T1D and aid in the design of individualized prevention programs.